2014 APEC Advanced Training for Vocational InstructorsGlobal Institute For Transferring Skills(GIFTS)

Human Resources Development Service of Korea Munemiro 448 gil 103(34-1, Gusan-dong), Bupyeong-gu, Incheon, 430-120

Tel:(82-32)509-1823 *Fax:(82-32)509-1830 *E-mail:soulmate@gmail.com

Nomination form (Please type or print clearly)

Training Trade (check): IT(graphic design) / Refrigeration and Air-ConditioningPart 1 Personal data (to be completed by applicant)

Member Economy

THE GOVERNMENT OF MALAYSIA

Name in full Family name><AB HAMED

<Middle name>-

<First name>AB AZIZ

Preferred name on badge

AB AZIZ

Organization Name: AB AZIZ BIN AB HAMEDAddress: BESUT VOCATIONAL COLLEGE, 22200 BESUT, TERENGGANU, MALAYSIA

Position HEAD OF ICT DEPARTMENT / LECTURER

E-mail kelisa1974@yahoo.com

TEL 01122037131 Fax 096976157

Birth Date 27/08/1974 Sex(Check) Male

Passport No. A32390101

Issue Date 19/03/2014 Expired Date 19/03/2016

EducationInstitution City/Country Years Attended Major Field of

StudyCertificate/

Degree AwardedUNIVERSITY OF SCIENCE, MALAYSIA

PENANG, MALAYSIA

1998 COMPUTER SCIENCE

DEGREE IN COMPUTER SCIENCE

TECHNICAL TEACHERS COLLEGE

CHERAS, MALAYSIA

2000 ICT & MATHEMATICS

DIPLOMA OF EDUCATION

OPEN UNIVERSITY

KELANTAN, MALAYSIA

2010 EDUCATION MASTER OF EDUCATION

Work Experience(over past 5 years)

From – To Employer Position held and description of duties

JULY 2000 – NOVEMBER

2005SMV KUDAT, SABAH

TEACHER / HEAD OF COMPUTER PROGRAMMING

DECEMBER 2005 – DECEMBER

2012 SMV BESUT, TERENGGANU

TEACHER / HEAD OF COMPUTER PROGRAMMING

JANUARY 2013 -PRESENT

BESUT VOCATIONAL COLLEGE

LECTURER / HEAD OF ICT DEPARTMENT

Language Proficiency

(Please Check)

Language Advanced Intermediate Basic

English √

Food Preference

(Any food you avoid eating)

FOOD AVOIDANCE: NON-MUSLIM FOOD

Person to be notified in case of emergencyName: AZIZAH BT MAT YASIN Relationship: WIFEAddress: BESUT VOCATIONAL COLLEGE, 22200 BESUT, TERENGGANU, MALAYSIATel: 01122037141

Areas of Interest

(related with training trade)

(Please Indicate!)

- UPDATES IN COMPUTER NETWORKING- UPDATES IN MULTIMEDIA

Part 2 Statement and Official Nomination(to be signed by an applicant and responsible government official)

I certify that the statements made on this Nomination Form are true and correct to the best of my belief.

If accepted as a trainee, I agree ;

(a) To follow the course of training and abide by the rules of the training organization;(b) To compensate for any personal injury, damage or debt incurred to other persons(s);(c) To accept that compensation is not payable by the HRDKorea for any damage or loss

of my personal property, and(d) To accept that the HRDKorea will not assume any responsibility for illness, injury or

death due to my own activities not involving my training.

I also fully understand that the granting of training may be withdrawn if I do not follow the above mentioned.

Date: _20/3/2014_________ Signature: ___________________ (Applicant)

The Government of ________________MALAYSIA_______________(member economy)

nominates ___ AB AZIZ ____________________ AB HAMED__ for training course of

(First name) (Middle name) (Family name)

the HRDKorea on 2014 APEC Advanced Training for Vocational Instructors and certifies that; (Training Trade)

(a) All information supplied by the applicant is complete and correct;(b) The applicant has an adequate knowledge of the training trade and is physically fit (c) and free from any infectious disease, and(d) The applicant has a sufficient knowledge of spoken and written English to enable

him/her to follow the course of training.

Date: ____________________ Signature: ______________________ (responsible government official)

Organization name: _________________________________________

Position/Title: ______________________________________________

Part 3 Copy of passport (Please attach)